What to Think About
The healthcare sector has changed drastically as a result of the pandemic. It’s even more important now to know how your insurance works. Here are some of the crucial things to keep in mind:
1. You may not be able to claim if you live in a high-risk area
It’s unlawful NOT to cover someone who has health insurance. However, there are still limitations you need to know about.
Namely, if you can’t access the clinic, you can’t make a claim. Sounds obvious, but under the lockdown, this isn’t all that rare.
For instance, Victoria is currently in a Stage 4 lockdown. Many people and their children can’t move around freely. One such child is Max Rollo, a 10-year-old in Fitzroy North, says that he’s ‘very tired of coronavirus.’ In his words:
‘We don’t get to go to school, go to the beach, see our friends at school or see our families.’
And Max isn’t the only kid who feels this way. Many families are scared and exhausted as it is. It’s even tougher on families who need to make a claim but can’t access the clinic. So if you’re living in a high risk area, get prepared.
2. Your dental policy may not cover certain item numbers
Most parents are aware of their limits. But they don’t always know if they’re actually covered for the services they need. In other words, they don’t know if the health fund will cover certain item numbers.
For instance: the item number for a general dental check is 003. If you see this number, it means your insurance covers it and you can get the payout.
But – and this is important – the payout can vary greatly between health funds. Which sometimes means your family may not be covered as well as you think.
What to do: Check your policy. Check the fine print. And get an expert comparison of your policy versus others.
3. Coverage for braces can vary
A recent study found more than 300,000 Aussies wear braces, many of them kids. And the numbers are on a steep rise. According to a former president of the Australian Dental Association, only 5% of orthodontics patients wore braces 10 years ago.
But that has risen to at least 20% today – a whopping 400% increase!
And braces are not cheap. A set of braces can set you back between $8,000-$10,000 for the duration of the treatment.
What to do: Again, check your policy and see if braces are covered. Not only that, compare your policy against others. Get help from an expert who can take you by the hand.
4. Check the fine print of your policy and confirm what you’re covered for
Here’s the truth. Health insurance is one of those unpleasant subjects parents don’t want to think about. Which means most parents don’t exactly know what their policies cover. Insurance companies know this. Some even take advantage of it.
Take the recent Medibank scandal. Did you know Medibank was recently fined $5 million for misrepresenting coverage information? It’s true! They denied hundreds of claims illegally, and for years they got away with it. Why? Because people didn’t know what they were covered for.
So check the fine print. And get help.
What Are You Not Covered for Now?
Are you 100% certain you know what your family is covered for? Probably not. If you haven’t reviewed your policy in a while, now would be the perfect time to do it. You might be missing out on what another provider could offer.
There’s a very quick and easy way to get the answers you’re seeking – take advantage of our FREE comparison service.
At no charge and no obligation, we review a wide spectrum of providers and see how your policy stacks up against the rest. We’ll also give you the honest-to-earth truth about the price increase of your policy.